Organization Active NPI

Pearle Vision Center

  • Optometrist
  • Bridgeview, IL
National Provider Identifier
1679711451
Registry record updated Feb 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008114 Issued in IL
Legal business name
PEARLE VISION CENTER
Practice address
7737 S Harlem Ave
Bridgeview, IL 60455-1318
Phone
(708) 430-4454
Fax
(708) 430-4586
NPI assigned
Feb 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael S Michaels, OD
Title
President
Phone
(708) 430-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-008114 IL Primary

Addresses

Primary practice location

7737 S Harlem Ave
Bridgeview, IL 60455-1318

Mailing address

7737 S Harlem Ave
Bridgeview, IL 60455-1318
Phone (708) 430-4454

National Provider Directory

National Provider Directory

Locations

7737 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 430-4454

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233446400000",
    "number": "1679711451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 S HARLEM AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551318",
            "telephone_number": "708-430-4454",
            "fax_number": "708-430-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 S HARLEM AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551318",
            "telephone_number": "708-430-4454",
            "fax_number": "708-430-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-01",
        "last_updated": "2009-02-01",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-430-4454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.